AS HE SETTLES INTO A NEW OFFICE AT THE JOHNS HOPKINS CENTER FOR TRANSGENDER HEALTH, MEDICAL DIRECTOR DEVIN O’BRIEN COON DESCRIBES THE LIFE-CHANGING SURGERIES THAT ARE PART OF HIS DAILY ROUTINE AND THAT SIGNAL A NEW ERA AT JOHNS HOPKINS MEDICINE.
The day before, the plastic surgeon spent 10 hours reconstructing the bones of a face to make it appear more feminine.
The next day he will perform the first stage of a phalloplasty for a patient who is transitioning from female to male. This multistage operation will make a functional penis using tissue from the patient’s own forearm, and it will require complex microvascular and nerve surgery. The physician considers the 14-hour procedure to be the most challenging of the gender affirming surgeries he performs.